Newborn/Pediatric Nurse Care Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide coordinated, patient-focused virtual Care Management through telephone and video consultations.

• Develop care plans collaboratively with members and a diverse healthcare team.

• Assist members in navigating complex medical issues, treatment pathways, benefits, and the overall healthcare system.

• Collaborate with local providers to ensure seamless care coordination for members.

• Deliver compassionate, ongoing follow-up care while fostering supportive relationships.

• Offer assistance during acute healthcare events, including hospitalizations and rehabilitation, through coordinated Case Management.

• Coordinate clinical and social resources to effectively meet members' needs.

• Counsel members through intricate medical and behavioral health challenges.

• Advocate for members, address inquiries, and attentively listen to their concerns.

• Support complex care management, disease management, and acute case management to enhance health outcomes.

⛳️ Requirements

• Bachelor of Science in Nursing (BSN) is required.

• Current CCM Certification or eligibility for the exam by August 2025 is necessary.

• A minimum of 5 years of nursing experience is required.

• At least 2 years of experience in care management is essential.

• Candidates must reside in a compact NLC state.

• An active Compact RN license in good standing with the nursing board of their state is required.

• Willingness to obtain and maintain licensure in multiple states is necessary.

• Availability to work from 9AM to 6PM PST; preference for candidates located in MST/PST time zones.

• Comfortable discussing various medical conditions and experienced with diverse age populations.

• Experience working remotely is preferred.

• Strong proficiency in using multiple computer and medical record systems is required.

• Must strictly adhere to security and HIPAA regulations.

• Ability to collect clinical history, respond to patient-level inquiries, and summarize findings effectively.

• Capable of writing medical information in clear, patient-centric language.

• Spanish speaking is a plus.

🏝️ Benefits

• Equity participation.

• 401(k) savings plan managed through Fidelity.

• Comprehensive medical, vision, and dental coverage through various medical plan options, including disability insurance.

• Access to Included Health telemedicine and healthcare navigation products and services at no cost for employees and their dependents.

• Generous Paid Time Off (PTO) and Discretionary Time Off (DTO).

• 12 weeks of fully paid parental leave.

• Family Building Benefit, offering fertility coverage and up to $25,000 for financial assistance with Surrogacy and Adoption.

• Compassionate Leave for personal matters.

• 11 paid holidays, including one floating paid holiday.

• Reimbursement for Work-From-Home expenses.

• 24 hours of Paid Volunteer Time Off (VTO) annually.

• A remote-first workplace culture.